“…Such deficits are pervasive, being evident in response to different stimulus modality presentations (emotional faces and film clips), and across different types of measures (physiological and self-report ratings). Specifically, the physiological evidence from TBI studies points to muted skin conductance, reduced eyeblink startle and facial EMG (electromyography) responses (Blair and Cipolotti, 2000;de Sousa et al, 2012de Sousa et al, , 2011de Sousa et al, , 2010Hopkins et al, 2002;McDonald et al, 2011;Sanchez-Navarro et al, 2005;Saunders et al, 2006) to aversive stimuli in particular, including angry facial expressions, distressing film clips, and unpleasant pictures (e.g., IAPS; Sanchez-Navarro et al, 2005). Deficits in psychophysiological responding to aversive stimuli in severe TBI are reflected in lower self-reported levels of arousal (e.g., Saunders et al, 2006) and valence (de Sousa et al, 2010).…”